Question : I notice that when I am not smiling, it looks like I am frowning. People actually comment that I seem angry. I don’t know if this involves just my mouth or both my mouth and eyes. Would a consultation help me identify whether I need a cheek lift, an eyelift or both?
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Question : I notice that when I am not smiling, it looks like I am frowning. People actually comment that I seem angry. I don’t know if this involves just my mouth or both my mouth and eyes. Would a consultation help me identify whether I need a cheek lift, an eyelift or both?
Answer : Absolutely. The solution might be as simple as some botulinum toxin between your brows, called the glabella. I would be happy to see you. Just contact us at info@drbentkover.com.
Posted in Botox, Injectable Fillers on May 11th
Question : I would like Botox treatments. I have very pronounced frown lines and crow’s feet. How many injections would I get for these areas? Do you first apply a topical anesthetic?
Answer : I tend to inject each crow’s foot area with 10-12.5 units of Botox injected in 4 or 5 places. We can use topical anesthetic cream if you wish, but it really does not hurt that badly.
Question : It’s been close to two weeks since my Botox treatment on my forehead. The lines in the middle of my forehead have disappeared, but the sides of the forehead lines are still present and look awful. Will this resolve itself or do I need to get this fixed?
Answer : A first botulinum toxin injection into the forehead is common to confine the injections to the central forehead. This is done to try to get some brow elevation. Injecting the outer portions of the forehead can actually drop the brow a bit. It is reasonable to consider topping off the treatment to decrease those lines understanding that the tail of the brow might drop. To help you find the procedure that is right for you contact us to schedule a consultation.
Question :
I have wrinkly temples and a sagging around the corners of my eyes. I don’t know what to do. A brow lift, eyelift, or Botox?
Answer :
Botox can elevate the outer brow some but may increase the wrinkles above your brows. A browlift may be a better option.
Question :
It seems that just about anyone can administer Botox injections but you always hear horror stories. What sort of qualifications should the person have? Should they be a doctor? What should I be looking for in someone to perform my Botox injections?
Answer:
I firmly believe that botulinum toxin should be administered by a facial plastic surgeon, plastic surgeon, cosmetic dermatologist or oculoplastic surgeon. These specialists have a higher level of understanding of the interplay of the muscles of your face.
Question :
When I raise my eyebrows, I get vertical wrinkles on my forehead. Can Botox be used to smooth these wrinkles or is a browlift recommended?
Answer :
Vertical wrinkles? If you mean the creases between the brows, the answer is yes, a botulinum toxin can help. A filler might also be a good idea. It works for horizontal wrinkles too. Here is a link that will give much more information about the process:
http://www.drbentkover.com/procedures/facial_augmentation_photos-worcester-boston.shtml
Question
What is a Botox brow lift and how effective is it?
Answer:
This is when a botulinum toxin is used in selected areas to try to elevate the brows. It can be very effective or moderately effective, depending on your expectations. A lot depends on how heavy your brows are to begin with, asymmetry of muscle action in your face and the specific does that you need. We start on the lower end of the scale so as not to elevate the brow too much. I add more if you want more once we see the result. It lasts about 3-4 months. Most of our patents are very pleased with the results. It is not a substitute for an endoscopic browlift or open browlift.
Question:
What is xeomin? I heard it’s similar to Botox.
Answer:
Yes, but the chances of developing an immunity to Xeomin should be much less. It is the botulinum toxin type A molecule with the protein removed. We have it in a special program on early release from the manufacturer, Merz. We have been using it since November 1, 2011, and really like it. It will be released to the general injector population in the spring. Here is a link to our Xeomin page. We are also running a special on it throughthe end of the year.
http://www.drbentkover.com/procedures/xeomin-worcester-boston.shtml
Question:
How possible is it to have an allergic reaction to Botox? What would be the signs or symptoms of an allergic reaction?
Answer:
While possible, it is extremely rare. You would probably be reacting to what it is mixed with. Swelling at the injection site, shortness of breath, rash would be signs of allergic reaction.
Posted in Botox, Facial Fillers on November 19th
Question:
I am a 37-year-old female and would like to try Botox injections for my crow's feet and my smile lines. Just curious as to what if any risks are there? And also, typically how long do the effects of the injections last?
Answer:
The most common risk of botulinum toxin (Botox, Dysport or Xeomin) is headache, about 5%. In the crow’s foot area on rare occasion you can get some drooping of the eyelid, but I have never seen it. I do not use botulinum toxin around the mouth for smile lines. Those are better treated with a filler.
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